SANTA MARIA RADIATION ONCOLOGY MEDICAL CENTER, INC. – NPI #1093749129
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

SANTA MARIA RADIATION ONCOLOGY MEDICAL CENTER, INC. is a radiologist located in SANTA MARIA, CA. NPPES has assigned the NPI number 1093749129 to SANTA MARIA RADIATION ONCOLOGY MEDICAL CENTER, INC. on July 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SANTA MARIA RADIATION ONCOLOGY MEDICAL CENTER, INC.” is a dba name, the actual legal business name for this organization is COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC.. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 6 years ago on Jan 02, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SANTA MARIA RADIATION ONCOLOGY MEDICAL CENTER, INC. below.

NPI Profile for
COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC.

NPI Number
1093749129
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COASTAL RADIATION ONCOLOGY MEDICAL GROUP, INC.
Doing Business As (dba): SANTA MARIA RADIATION ONCOLOGY MEDICAL CENTER, INC.
Primary location
1325 E CHURCH ST STE 101
SANTA MARIA, CA 93454-5915
Phone: (805) 925-2529 Fax: (805) 928-4478
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEFFREY RODNICK
PRESIDENT
Phone: (805) 648-5191
Updated
Certification Date
Jan 02, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.